Psychological Protective and Risk Factors for Depression, Anxiety and Mental Well-Being in Social Workers

A. Maddock
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Abstract

Social workers worldwide experience high rates of depression, anxiety and deficits in well-being. Depression, anxiety or poor mental well-being can have a significant effect on the individual social worker, and the quality of care they can provide. There have been limited attempts to examine and understand the underlying psychological protective and risk factors for depression, anxiety and poor well-being amongst social workers. Using the clinically modified Buddhist psychological model (CBPM) as a theoretical framework, this cross-sectional study examined a range of potential psychological protective and risk factors for depression, anxiety and mental well-being of 121 social workers in Northern Ireland, using structural equation modelling, and conditional process analyses. Mindfulness, acceptance, attention regulation/decentering skills, self-compassion, non-attachment and non-aversion could act as protective factors against depression, anxiety and poor mental well-being in social workers. Results also indicate that each of these variables could reduce the extent to which social workers worry and ruminate, further reducing the risk that social workers might experience depression, anxiety, or poor mental well-being. This study offers promising preliminary evidence that the CBPM is a useful explanatory framework which helps to explain variation in depression, anxiety and mental well-being amongst social workers.
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社会工作者抑郁、焦虑和心理健康的心理保护因素和风险因素
全世界的社会工作者都有很高的抑郁、焦虑和幸福感缺失率。抑郁、焦虑或不良的心理状态会对社会工作者个人以及他们所能提供的护理质量产生重大影响。在研究和了解社会工作者抑郁、焦虑和幸福感差的潜在心理保护因素和风险因素方面的尝试还很有限。这项横断面研究以临床改良佛教心理模型(CBPM)为理论框架,采用结构方程模型和条件过程分析法,对北爱尔兰 121 名社会工作者抑郁、焦虑和心理健康的一系列潜在心理保护因素和风险因素进行了研究。正念、接纳、注意力调节/去中心化技能、自我同情、不依恋和不厌恶可以作为社会工作者抑郁、焦虑和不良心理健康的保护因素。研究结果还表明,这些变量中的每一个都可以降低社会工作者的担忧和反刍程度,从而进一步降低社会工作者患抑郁症、焦虑症或心理健康状况不佳的风险。这项研究提供了有希望的初步证据,证明 CBPM 是一个有用的解释框架,有助于解释社会工作者抑郁、焦虑和心理健康方面的差异。
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